Clone of NCDRPW - Employment Application Form 2025

NCDRPW - Employment Application Form - 2026

Closing Date: Friday 20 March 2026 at 16:00
Current Year*
Identity Number*
DOB*

DayMonthYear
Date Of Birth
Age*
How old are you?
Surname*
First Names*
Race*
Gender*
Cell Number*
Email Address*
example@example.com
Province *
The Province in which you are residing.
City / Town*
City or Town in which you are residing
Preferred Language Of Correspondence*
Do You Have A Disability*
Do you have a Drivers License*
Are You A South African Citizen*
If No, What Is Your Nationality
If Not South African Citizen
Do You Have A Valid Work Permit
Refers to Foreign Nationals
Have you been convicted of a Criminal Offence Or dismissed from Employment?*
Do you have a Pending Criminal Case against you?*
Have you ever been dismissed for misconduct from the Public Service?*
Do you have a Pending Disciplinary case against you?*
Have you resigned from a recent job pending any disciplinary proceedings against you?*
Please note that the provisions of the Public Service Act shall apply
Have you been discharged or retired from Public Service on grounds of ILL-HEALTH or on condition that you cannot be re-employed ?*
Criminal / Misconduct / Disciplinary and Ill-Health INFORMATION
Are you conducting business with the State or are you a Director of a Public or Private company conducting business with the State?*
If YES to the above, Please provide brief details of your business with the State.
In the event that you are employed in the Public Service, will you immediately relinquish such Business Interests*
If you are conducting Business with the State
Please specify the total number of years of experience you have

Rows Private Sector Public Sector

Years / Months
If your Profession requires Registration provide Information
You can also upload this information as part of your CV

Rows	Private Sector	Public Sector
Years / Months

South African Official Language Proficiency - State (Good / Fair / Poor)

Rows	SPECIFY Language	SPEAK	WRITE or READ
Language 1
Language 2
Language 3
Language 4

If you were previously employed in the Public Service, is there any condition that prevents your re-appointment
If answer is "Yes" to the above with regards to re-appointment - Provide the name of the previous employing Department and indicate the nature of the condition.
Qualifications (ONLY Scholastic & Tertiary Qualifications - NO CERTIFICATES)*

EXAMPLE - Matric / B Com Degree / Diploma in Finance Management 0/200
Work Experience ( Brief Description & Years in Position)*

EXAMPLE - Admin Clerk - 2 Years - Promotion0/300
Reference Number of Post*
Position for which you are Applying*
At which Employer are you Currently Employed*
Please upload your Z83,CV, ID, Drivers License & Qualifications*

SCAN your Z83,CV, ID, Drivers License & Qualifications (NO CERTIFICATES) as a SINGLE PDF (A Word Document can also be uploaded)
Cancelof
Signature*

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Scribble your Initials using your mouse
Should be Empty:

NCDRPW - Employment Application Form - 2026